Impact Report | Fiscal Year 2016/2017 1

IMPACT REPORT F ISCAL YEAR 2016-17

2 New Jersey Health Care Quality Institute Impact Report | Fiscal Year 2016/2017 3

Since the passage of the

Affordable Care Act, the health

care system has experienced rapid

change and upheaval across the

nation including New Jersey. The

past year was a time of great

uncertainty, as we all wondered

which of the reforms would

continue and in what form. It

was a year that reminded us all

that health care is, and always

will be, a personal and local issue.

Different parts of the country have

different cultural expectations and norms. Disruptive change is difficult to

impose nationally --- especially when it comes to health care issues. The

upheaval and debates reminded me of what I appreciate about living in

New Jersey, a state with a long history of ensuring that one’s health status

will not prevent you from getting coverage. It also reinforced my joy in

working with all of you, at the state policy-making level, to make health

care more accessible and affordable to the residents of the Garden State.

This Impact Report looks back at the past year and our accomplishments

working with you, our members and funders. It also peeks forward

at what’s underway in our next fiscal year and how we see our efforts

advancing to improve quality in health care delivery and tackle costs.

From our delivery system workgroups, to our member conferences and

quality improvement breakfasts, your contributions to our work and your

collective voice is vital to everything we do. Thank you for sharing your

expertise and perspective as we work together to make health care in New

Jersey safer, person centered, and more affordable. You are the Quality

Institute.

With an incoming Governor in early 2018 and on-going uncertainty at the

federal level, the next year will continue to be one of great uncertainty.

That is what makes the role of the Quality Institute all the more critical.

I am inspired by all of you every day. I look forward to continuing our

important work together throughout 2018.

With warm appreciation,

Linda J. Schwimmer, JD

Suzanne M. Miller, PhDChair of the BoardSenior Professor / Director, Psychosocial & Behavioral Medicine;Fox Chase Cancer Center / Temple University Health System

Judith M. Persichilli, RN, BSN, MAVice Chair of the BoardPresident Emerita, CHE Trinity Health

Donald Bryan, JDSecretaryDirector, Division of Insurance, New Jersey Department of Banking & Insurance (Retired)

Ian Ruegg, MBATreasurerBenefits Coordinator, Northeast Carpenters Funds

Kemi Alli, MDChief Executive and Medical Officer;

Henry J. Austin Health Center

Robert “Rob” Andrews, JDFormer Congressman, New Jersey 1st Congressional District; CEO, Health Transformation Alliance

Andrea W. Aughenbaugh, RN CEO, New Jersey State Nurses Association (Retired)

James J. Florio, JDFormer Governor of New Jersey; Senior Partner, Florio, Perrucci, Steinhardt & Fader, LLC

Charlene Holzbaur, MBAFinancial Management Specialist at CMS;Former Director of the New Jersey Department of Treasury’s Office of Management and Budget

Heather Howard, JDFormer New Jersey Health Commissioner; Director of State

Health Reform Assistance Network;Woodrow Wilson School of Public & International Affairs, Princeton University

Fred M. Jacobs, MD, JDFormer New Jersey Health Commissioner; Executive Vice President & Chair of Department of Medicine, St. George’s University School of Medicine

Michael A. Sedrish, MD Medical Director, MediSys Health Network, Inc

Christine A. Stearns, JD Director, Government Affairs & Administrative Director of the Trenton Office, Gibbons P.C.

Linda J. Schwimmer, JDPresident & CEO, New Jersey Health Care Quality Institute

MESSAGE FROM PRESIDENT BOARD OF DIRECTORS SPOTLIGHTSMEDICAID 2.0

A Blueprint for the Future

With generous funding from The Nicholson Foundation, the Quality Institute launched the Medicaid 2.0 Project to identify existing challenges and provide solutions to improve the way the State delivers and pays

for care through Medicaid. Beginning in early 2016, we met with over 100 health care stakeholders, including providers, health plan executives, hospital leaders, government officials, union representatives, academics, and advocacy groups. We conducted focus groups with beneficiaries, concentrating on pregnant women and seniors, to obtain feedback on how well the system was working for them. We then consulted with innovators in other states and hosted two Medicaid summits to gather additional insights. This exhaustive research formed the basis in developing five Transformation

Teams comprised of more than 50 high level health care stakeholders to dive more deeply into the priority areas and propose actionable solutions to improve the Medicaid program. Our inclusive and focused approach culminated in the March 6, 2017 release of the Medicaid 2.0: Blueprint for the Future, a landmark plan to redesign and modernize New Jersey’s Medicaid program. The Blueprint highlighted 24 consensus-based recommendations to improve the quality, and reduce the cost, of the Medicaid program.

The Blueprint received local and national attention. Because of our unique collaborative process, the recommendations have broad support. With additional funding from The Nicholson Foundation, the Quality Institute is now working to implement the recommendations.

Mayors Wellness CampaignCelebrating its 10th Anniversary

Created 10 years ago in collaboration with the New Jersey State League of Municipalities,

the Mayors Wellness Campaign (MWC) was formed in response to an Institute of Medicine report on rising rates of obesity. The initial theme, “Putting Our Community in Motion,” inspired mayors, recognized by the Quality Institute as local champions of change, to increase opportunities for New Jersey residents to participate in daily physical activity. Today almost 70 percent of New Jersey’s municipalities (387) have joined the MWC. The MWC provides local leaders with tools to champion healthy and active living, with the goal of improving the overall health of their communities. Twenty-one towns in the last decade have received

the MWC’s prestigious Healthy Town designation for their commitment to improving wellness. MWC programming has expanded over the years to include health promoting activities geared to everyone from children to seniors, and to support higher-need communities through our Healthy Communities create Healthy Citizens project, generously funded by the United Health Foundation. In addition, through funding from the Horizon Foundation for New Jersey, the MWC launched an initiative called “Conversation of Your Life,” which provides mayors with straightforward tools to develop and promote a community conversation around end-of-life care planning in a culturally sensitive and accessible way.

Mission Statement: To undertake initiatives that promote system changes that ensure quality, safety, accountability, and cost containment are all closely linked to the delivery of health care in New Jersey.

4 New Jersey Health Care Quality Institute Impact Report | Fiscal Year 2016/2017 5

QUALITY INSTITUTE ROLE AND IMPACTAs a non-partisan, multi-stakeholder convener, the Quality Institute has accomplished the following over the past year:

Developed 24 consensus-based recommendations for improving NJ Medicaid, captured in our Medicaid 2.0 Blueprint for the Future.

Provided common sense prescriptions for health care’s ailments via Linda Schwimmer’s biweekly blog, SchwimmerScript.

Led the 2016 Annual Innovation Showcase: Using Technology to Transform the Practice of Medicine with the New Jersey Innovation Institute, bringing together over 250 providers, health care policy experts and technology vendors for the first time.

Hosted two Quarterly Quality Breakfasts to share hospital safety best practices and alternative pain management methods to opioids and surgery.

PROBLEM SOLVER EDUCATOR

THOUGHTLEADER

Selected 31 population health metrics to support alignment across payment and quality improvement programs as part of New Jersey’s State Innovation Model design award.

Issued recommendations to improve Medicaid provider network directories in partnership with the New Jersey Association for Health Plans.

Connected nearly 600 people in Jersey City, Mercer County and Cumberland County to needed social services by supporting three custom Aunt Bertha social service websites.

Revamped 30 tools in the MWC toolkit, enabling mayors in 387 municipalities to increase and enhance their health and wellness programming.

Promoted conversations around end-of-life care planning to nearly 4,000 individuals through our expanded Conversation of Your Life program.

Educated over 500 NJII Garden Practice Transformation Network providers and Quality Institute members on population health and clinical quality improvement.

Informed policy debates around the use of telemedicine and urgent care, and the use of government funding to support Planned Parenthood services for low income women by conducting ongoing statewide polls with the Rutgers Eagleton Center for Public Interest Polling

Graduated over 80 pharmaceutical executives through our Health Care Policy 360 program.

“The Quality Institute is my go-to organization for innovative solutions and forward-thinking ideas on complex health issues.”

Senator Joseph F. Vitale

#1 for Leapfrog Hospital Survey Participation among regions with more than 50 targeted hospitals

organizations engaged in creating the Medicaid 2.0 Blueprint

QUALITY INSTITUTE BY THE NUMBERS

22blogs

CME-accredited Garden Practice Transformation

Network webinars

11

press hits80

new Mayors Wellness Campaign tools

9

Leapfrog Hospital Survey Participation Rate

94%Linda Schwimmer was listed #17 on the NJBIZ Power 50 Health Care List

HEALTH CARE

POWER 50#17

Speaking events

70

content-rich member events

7

1#

130Ove

r

Members forming the unique QI voice

94

Shared our policy expertise at Over

6 New Jersey Health Care Quality Institute Impact Report | Fiscal Year 2016/2017 7

Total Revenue

Total Expenses

6% Educational

Programs

38% Membership Contributions

82% Program

Costs

56% Grants

18% Operations

A Special Thanks to Our Grant Funders:

• The Horizon Foundation for New Jersey - MWC’s Conversation of Your Life

• The New Jersey Innovation Institute - QI Collaborative’s Practice Transformation work

• The Nicholson Foundation - Medicaid 2.0

• The United Health Foundation - MWC’s Healthy Communities create Healthy Citizens project

FINANCIALS AND GROWTH“Because of the Quality Institute’s persistence and leadership, New Jersey hospitals are national leaders in quality and safety transparency.”

Leah Binder, President and CEO, The Leapfrog Group

“The Quality Institute is a leader of state-based innovation and the organization’s work, particularly in Medicaid, is widely reviewed and respected at the federal level.”

Elizabeth Mitchell, President and CEO, Network for

Regional Healthcare Improvement

“I’m proud to be the spokesperson for the Quality Institute’s Mayors Wellness Campaign which successfully encourages all communities to eat better and be active.”

Joetta Clark Diggs, Four-Time Olympic athlete

Linda Schwimmer serves as a board member of The Leapfrog Group, a national nonprofit driving a movement for giant leaps forward in the quality and safety of American health care. The Quality Institute is the Regional Leader for The Leapfrog Group in New Jersey.

The Quality Institute is a member of the Network for Regional Healthcare Improvement (NRHI), a network of multi-stakeholder collaboratives dedicated to the Triple Aim. The Quality Institute serves as the Regional Health Improvement Collaborative (RHIC) for New Jersey and Linda Schwimmer serves on the NRHI Board of Directors.

Linda Schwimmer serves as Vice Chair of the Consensus Standards Approval Committee (CSAC) at the National Quality Forum (NQF). CSAC is the NQF advisory committee responsible for the review and approval of endorsements on quality measures.

LOOKING AHEAD TO 2018

Collaborating with health care stakeholders, legislators and the new

administration to develop priorities on health

care access, quality and affordability.

Expanding the Conversation of Your Life program to cover eight New Jersey counties (Bergen, Burlington, Camden, Gloucester, Mercer, Middlesex, Monmouth, Somerset).

Implementing recommendations from the Blueprint with a focus on improving mother and child care, making Medicaid cost and utilization data available to the public, and developing a patient centered medical home for children with complex medical needs.

Developing solutions in New Jersey to maintain

access and affordability in the wake of any changes to the Affordable Care Act.

Coordinating efforts to decrease unnecessary

C-sections and improve maternal and child

outcomes.

Increasing transparency and quality in nonhospital settings of care.

QI BEYOND NJ

The Quality Institute leverages the knowledge and expertise of its members by actively engaging with national partners on quality and safety. Through these organizations, we can stay at the forefront of emerging health issues and make the connections we need with other thought-leaders in health care delivery, quality improvement, and payment reform.

Partnering with Catalyst for Payment Reform to develop a NJ Payment Reform Scorecard.

8 New Jersey Health Care Quality Institute

Leadership CouncilContinuum Health AllianceEagleton Center for Public Interest Polling at Rutgers UniversityHorizon BlueCross BlueShield of NJHospital Alliance of New JerseyMedical Society of New JerseyNJ Innovation InstituteNJ Manufacturers Insurance CompanyNJ State Chamber of CommerceNJ State League of MunicipalitiesNJ State Nurses AssociationPlanned Parenthood of Northern, Central & Southern NJRWJBarnabas HealthVITAS Innovative Hospice Care

Association CouncilAmerican Physical Therapy Association of New Jersey Employers Association of New JerseyHealth Care Association of New JerseyNew Jersey Academy of Family PhysiciansNew Jersey Chapter of the National Association of Hispanic NursesNJ Association for JusticeNJ Association of Community ProvidersNJ Association of Health PlansNJ Association of Mental Health and Addiction AgenciesNJ Association of Nurse AnesthetistsNJ Business & Industry AssociationNJ Education AssociationNJ Family Planning LeagueState and Local Government Benefits Association

ACO CouncilCamden Coalition of Healthcare ProvidersHealthy Greater Newark ACOTrenton Health Team

Consumer CouncilAARP of New JerseyAmerican Cancer SocietyAmerican Heart AssociationMarch of DimesMedina Community ClinicMental Health Association in NJNJ YMCA State AllianceRobert Wood Johnson FoundationSeton Services, LLCThe Nicholson Foundation

Education CouncilRutgers Robert Wood Johnson Medical SchoolRutgers University School of Nursing

Plan CouncilAetnaAmeriGroupAmeriHealth New JerseyCommunity Care Behavioral HealthUnitedHealth Employer and IndividualWellCare

Professional & Technology CouncilApplied Medical SoftwareEMET RealtyFox Rothschild LLPJR Market Strategies, LLCMD AdvantageTeladocVenn Health PartnersZeOmega

Provider Council AtlantiCare Health SolutionsCancer Treatment Centers of AmericaCapital Health SystemCarePlus NJ

CarePoint HealthCarrier ClinicCooper University Hospital Medical CenterDeborah Heart and Lung CenterHackensack University Medical CenterHenry J. Austin Health Center, IncHoly Name Medical CenterHunterdon HealthcareInspira Health NetworkJefferson HealthJFK HealthMorristown Medical Center – Atlantic HealthOur Lady of Lourdes Medical CenterRegional Cancer Care Associates LLCRutgers Behavioral Health CareSt. Clare’s Health SystemSt. Francis Medical CenterSt. Joseph’s Regional Medical CenterSamaritan Healthcare & HospiceSummit Medical GroupTrinitas Regional Medical CenterValley Health SystemVirtua Health SystemVNA Health GroupWoods Services

Purchaser CouncilHealth Professionals & Allied EmployeesNortheast Carpenters FundsTabula Rasa HealthcareUnite Here Health USI Insurance Services, LLC

Wellness CouncilAstellas Pharma USGenentechPfizerSanofi

New Jersey Health Care Quality Institute Membership

New Jersey Health Care Quality InstituteStone House at Carnegie Center | 3628 Route 1 | Princeton, NJ 08540 609-452-5980 | njhcqi.org

As of October 1, 2017